Modified Corporoplasty for Ventral Penile Curvature: Description of the Technique and Initial Results

Giammusso, Bruno; Burrello, Maurizio; Branchina, Antonino; Nicolosi, Federico; Motta, M.

doi:10.1097/01.ju.0000110297.98725.25

Cited by 42 publications

(25 citation statements)

References 17 publications

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“…Surgical correction was found to result in a signifi cant improvement in the patient ' s overall relationship, as well as his sexual relationship, confi dence, libido and general satisfaction [ 22 ] . The highest rates of complete penile straightening, preservation of erectile function and overall satisfaction with our technique are in accordance with results of other published series [ 16,19,23,24 ] .…”

Section: Discussionsupporting

confidence: 81%

“…More recently Giammusso et al . [ 19 ] and Rolle et al . [ 20 ] introduced interesting modifi cations.…”

Section: Discussionmentioning

confidence: 99%

“…In some cases, patients complain about discomfort due to these ' dog-ears ' , especially when non-absorbable suture material is used. Plication procedures are also not as durable as other techniques because the penile straightening relies on the sutures to mediate the correction, rather than on the natural healing process of the tunica [ 19 ] . Recurrent curvature has been observed in up to 15.8% of cases corrected with these types of technique [ 1 ] .…”

Section: Discussionmentioning

confidence: 99%

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Superficial tunica albuginea excision, using geometric principles, for the correction of congenital penile curvature

Kuehhas

Egydio²

2012

BJU International

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E 9 4 9What ' s known on the subject? and What does the study add? Congenital penile deviation has become a relatively frequent fi nding due to a greater awareness of the problem among patients and physicians. Since the fi rst surgical correction for congenital penile curvature was performed, many modifi cations have been implemented to overcome the disadvantages of the standard procedure and to improve functional results. Among the possible side effects of the original technique are postoperative erectile dysfunction, the development of painful nodules at the suture sites ( ' dog ears ' ), alteration of cutaneous sensibility and signifi cant penile shortening.

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Section: Discussionsupporting

confidence: 81%

“…More recently Giammusso et al . [ 19 ] and Rolle et al . [ 20 ] introduced interesting modifi cations.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Superficial tunica albuginea excision, using geometric principles, for the correction of congenital penile curvature

Kuehhas

Egydio²

2012

BJU International

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“…A study based on this technique done in 12 patients with penile curvature reported that penile straightening was achieved in all patients, while 67% of Review them reported penile shortening (1-2.5 cm), although the decreased length did not cause interference with sexual activity. No surgery-related complication, such as pain or loss of sensitivity, was reported, and 83% of the patients reported full satisfaction [48] .…”

Section: Surgical Treatmentmentioning

confidence: 98%

Peyronie’s Disease: Lights and Shadows

et al. 2007

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Peyronie’s disease (PD) is characterized by the onset of fibrous plaque inside the tunica albuginea of the penile corpora cavernosa that can cause pain and bending during the erection, making intercourse difficult or impossible. Evidence of the literature supports the autoimmune etiology of PD and suggests genetic and familiar conditions, penile traumatisms, and a history of genital tract diseases as risk factors, but no definitive conclusions arise about the pathogenesis of the disease. Few randomized trials demonstrated that medical therapies, such as vitamin E, colchicine, potassium aminobenzoate, tamoxifen, and injection therapy with verapamil, can stabilize the acute phase of the disease. Extracorporeal shock wave therapy and iontophoresis cannot be considered first-line or gold standard therapies. Satisfactory results have been published with the Nesbit operation in large series with low-stage disease, whereas plication procedures have shown significant relapse rates. A high incidence of long-term penile retractions has been reported in high-stage disease treated with plaque incision and simple graft insertion. Malleable, soft, or inflatable prostheses combined with graft implantation have given the best results in terms of penile straightening and lengthening and patient satisfaction. In conclusion, the etiopathogenesis of PD is not yet clearly understood, no medical therapy is fully effective, and surgery remains the gold standard in patients with severe deformity and/or erectile dysfunction.

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“…Following repair in another report, all patients showed elimination of penile curvature with preserved erectile function in 92% and an 83% full satisfaction rate. 13 Therefore, surgical management provides excellent rates of penile straightening and patient satisfaction.…”

Section: Congenital Penile Curvaturementioning

confidence: 99%